Individual
KERRY P BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
59 DAVENPORT STREET, AUGUSTA, ME 04330
(207) 621-1111
(207) 621-1119
Mailing address
59 DAVENPORT STREET, AUGUSTA, ME 04330
(207) 621-1111
(207) 621-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2723
ME
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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